HomeMy WebLinkAboutPermit Building 1996-11-25OTTOF
SPR!NGFIELD
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RESIDENTTAIJ PERMIT APPLICATION
CITY OF SPRTNGFTELD
COMMI'NITY SERVICES DIVTSION
BUIIJDING SAFETY
Page 1
Job Number: 96L493
225 NorEh Fifth Street
Springfield, OR 97477
tocation of Propoeed Work: 1400 WIMBIJEDON DR
Assessors tr,tap #: 1,7033422
Lot: 5 Block:
Office:
Inspection Line:
726 -37 59
726 -3759
Tax Lot #:
Subdivision:
00807
OAKTREE
OwneT: SOVEREIGN BUIIJDERS
Address: P.O. BOX 5821
Describe Work: S.F. RESIDENCE
Phone #: 744-O9L6
cirylstate/zip: EUGENE, OR 97405
NEW
General-:
Plumbing:
Mechanical:
El-ect,rical :
Contract,or
sovERErGN 0086477
131-8 Wimbl-edon Place Springfietd OR
CUSTOM PLUMBING OO8L994
3248 Kentwood Dr Eugene OR 97401000
HOME COMFORT 0084]-64
85262 Peaceful Va11ey Rd Eugene OR
L H MORRIS OOO1838
PO Box 456 Eugene OR 974400000
Conet.
ConEraetor #Expiree
to/os/e7
0s/06/e7
06 /2s / e7
06/08/e7
Phone
7 44-09L6
485 -LL46
345-2838
7 47 - 081,1
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSTIL PATH: P1
-- oFFrcE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2L44
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To requeet an inspection, cal_l the 24 hour recording aL 726-3jG9.
A11 inspections requested before 7:00 a.m. will be made the same working day,inspections reqluested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FoIrllDATroN - Af ter forms are erected but pri-or to concret,e placement.
ITNDERFTOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR IIEC]IAI{fCAL - Prior to insulation or decking.
ROUGH GAs - after line is installed and capped if not attached to an
appliance
POST AIiID BEAII - Prior to f loor j-nsulation or decking.
rNsuLATroN - Floor,' prior to decking walI/ceiling; prior to cover
WATER LINE - Prior to filling trench.
SAI{ITARY SEWER LINE - Prior to fi}ling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH DIECHAIIICAL - Prior to cover.
ROUGH EIJECTRfCAL - Prior to cover.
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.
FRAIIfNG - Prior to cover.
rNsur.ATroN - Fl-oor; prior to decking wa11/ceiring; prior to cover
DRYI'IALL - prior to t,aping.
srDEwArJK - Aftser excavation is comprete, forms and sub-base materialin pIace.
clrRBcur - After forms are erected but prior Eo pracement, of concreue.
FINAL PIJITMBfNG - When all plumbing work is complete.
FINAL IIECIIA]IICAL - When aII mechanica] work is complete.
FINAL ELECTRfCAL - When all electrical work is complete.
GAS SERVICE - Aft,er Line is installed and line has been connected Eo a
minimum of one appJ-iance. pressure test, done at this point.
SPFIi.GFIELD
h,
.Tob Number: 96L493
CNTOF
Page 2
FINAIJ BUIIJDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 10000
Total Height: 24
Lot T)t)e: INTERIOR
SeEbacksswE
20 18 18
18
IJot Coverage : 21, .452
Setbk From NPL: 62
N
42
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI. FEE
--. BUITDING PERUIT ---
Sguare Feet x
173 L
4L4
$/Square Feet
64 -66
L6.27
(A)
Value
tLL,926 . OO
5,736.O0
1_l_8, 662 . 00
475.75
38.06
513 . 81
--- SYSTEIIS DEVELOPMENT CIIARGE (SDC)
(B)2,577 .04
Systems Development Charge is due on aII undeveloped properties within the City
Limits and the Citys Urban Growth Boundry which are being improved.
.-- PLI'MBING PER}IIT ---
Item
ResidenEial Bath(s)
Plumbing Permit
Surcharge/edmin
TOTAI. CIIARGE
2
Fee
150.00
r_60.00
t2.80
L72.80(c)
--- DIECIIATiIICAL PER}TIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE &. W/H
GAS F.P.
Mechanical- Permit
Issuance
Surcharge/edmin
TOTAT PERMIT
3
6.00
4.50
9. 00
3.00
s.00
4.50
32.00
r_0.00
2 .55
(D)44.56
--- UISCELLAI.IEOUS PERMITS
Surcharge/edmin
Sidewal-k
Curb Cut
WILLAMALANE SDC
TOTAL MISCEI.I.A.}IEOUS PERMITS
0.00
23.50
L4.20
1, 000 . 00
L,037 .7 0(E)
4,345 .9L(Excluding Electrical)
unleEs otsherwiEe noted
--- TOTAI, AMOUIIT DI'B ---
(A, B, C, D, and E combined)
SPRINGFTELE,
Job Number: 961-493
CITY OF
Page 3
--- BUILDING VAIJUE, PLA}I CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said conslruction
shaI1, in aLl- respects, conform to the Ordinance adopt.ed by the City of
Springfield, including the Development Code, regulating the consEruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee 309.24 Date paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOppER
1,1/ 07 / 95
1,1,/22/e5
Receipt Number: 23738
--- ADDITIONAI. COMIIENTS
PATH 1,. SEPARATE ELECTRICAL PERMIT TS REQUIRED
DRIVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, I at,at,e and agree, that I have carefully examinedthe compleEed application and do hereby cerLify that. aII informat.ion hereonis true and correct, and f further cert,ify that any and all work performed.shall be done in accordance with Ehe ordinances of the City of Springfield,
and the Laws of the staue of oregon pertaining to the work described herein,and that No OCCUPAIICY witl be made of any strucEure without permission of the
CommuniEy services Division, Building Safety. r furt.her certify that onlycont,ractors and employees who are j-n compliance with ORS 7Ol-.055 will beused on this project.
r furt,her agree to ensure that all reguired inspections are requested. at theproper time, that each address is readable from the sEreet, that the permit,card is located at the front of the property, and the approved. set of planswill remain on the site at. arr times during construction.
1/- L( -?(s ture DaEe
--- VAIJIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
,//-2*?a
?
{72,2r
Page 1
CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAI,)
ATT OF SPilNGFIELD, ONEGON
Name or Company: SOVEREIGN BUILDERS
Location: 1400 WIMBLEDON DR
Developement Tlpe: R Building Size:
Job No. : 961,493
Lot Size:Sq Ft
1. STORM DRAINAGE
fmpervious Sq Ft
2. SAI{TTARY SEWER - CrTY
Number Of PFUs
(see Page 2)
3. TRAI.ISPORTATION
Number Of Units
1X
3L47
20
X Trip Rate
1.010 x
X O.2LG Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
451,.26 $4ss.77
$579.7s
$8es.00
$4ss.77
$423.80
$0.00
$423.80
$2,454 .32
s1,22.72
Transportat,ion Total
4. SAI{ITARY SEWER - MT{I{C
Number Of PFUs
20
5. ADMINISTR,ATIVE FEES
Base Charge (SubtotaL Above)
Y
x
Per PFU +
20.690 +
MIIMC Admin Fee
10.00
MWMC CREDIT If Applicable
TOTAL - MhMC SDC
(see Page 2)
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.s0
TOTAL SDC
Reviewed By: DENNIS ERNST Date: Lt/L2/96
i2,577 .04
SPFI1rlGFIELD
ONEGONqTT OF
/- SPRTIrrGFTELD
Job Number: 95L493 Page 2
FIXTURE I'NIT CALEUI,ATION TABLE
Fixture Tlpe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/EtcInteceptors For Sand,/Auto Wash,/EtcLaundry Tub/Clotheswasher
Clotheswasher - 3 Or MoreReceptor For Refrigerator/Water Station,/EtcReceptor for Commercial_ sink/Dishwasher/EtcShower, Single StalL
Shower, Gang
Sink, Bar, Commercial, Residential KitchenUrinal, Sta1l/Wa11
Wash Basin/Lavatory, SingleWater Closet, public Installation9ilater Closet, private
Miscellaneous
TOTAL FIXTURE UNrTS =
Credit For parcel Or Land Only Tf Applicable:
fmprovement (if after annexation date):
cREDrr cALcuLATroN TABLE: Based on assessed value. rf improvemenEs occuredafter annexation date, credits are car-culated separately.year Annexed:
(cal_culations are by $1OOO)
a
0
0
0
0
1
0
0
0
1
0
1
0
2
0
z
0
Number of
New Fixture
Unit
Eguivalent.
Fixture
Units
20
0. 00
0.00
$0.00
1
2
3
5
2
5
L
3
2
2
2
L
6
4
4
0
0
0
0
2
0
0
0
0
2
0
-
0
8
0
o x o.oo =
o x o.oo =
CREDIT TOTAL =(rf l-and value is multipried by 1 then the parcer/Iand credit is not accurate. )
SPrrINCFIELO
m
225 .PIFIr STREET
SPRTNGFTELD, OREGON 97477
DISPECTION REQIIEST " 726-3769
OPFICE: 726-3159
JOB DESCRT PTION
CYL I
Permlts are non-transferable and ex
lf vork I
of lssuair
180 daYs.
s not s tarted vlthlri 180 d s
ce or lf vork ls susPended fo
ELECTRICAL PERHIT APPLICATION
City Job Nunber,
3. COHPLETE PEE SCBEDULE BELOS
Nev Resldentlal-Single or
HuIti-FamlIY Per dvelling unit'
Service Included:
I tems Cos t
$ Bs.0o
$ 15.00
s 40.00
B.
A
Sum
1.000 sq.ft. or less
Each additional 500
sq. ft or Portlon
thereo f
Each Hanuf'd Home or
-Hodular Dvelling
Servlce or Feeder
Services or Feeders
fnstallation, Alterations
or Relocation:
2. CONTL{Cf,OR INSTAILATION ONI,Y
Electrical Contrac to, L.t)' NIWZ;\ 4-&f
Add ress I
Phone - O(l
Supervisor Llcense Number 3 craL- s
ixpirution Date,/o-t -qr
C
constr contr. Number d Q7?
Explratlon Date -?-77
Signature of Su ervlslng Electrician
'i Gr1o 6ox 5Y)
Phone 7qv a?l c
e
r
200 amps o
201 amps t
401 amps t
601 amps t
0ver 1000
Reconnec t
$ so.oo
$ 60.00
$100.00
s130.00
$300. 00
$ 40.00
4o
r less
o 400 amps
o 600 amps _o 1000 amps-
amps/volts
-
0nly
Temporary Services or'Feeders
Installaiion, Alteratlon or Relocation
200 amps or less ---.1[-201 amps tq 400 amPs
-
' Over 401 to 600 amPs
Over 600 amps or 1000TTls
D.. Branch Circuits
$ 40.00
s 55.00
$ 80.00
see ttBn a
- el,40-
Sove
.00 ---
Orners
Address
Ci ty
OgNER STAI,I^A
a ?os
Nev, Alteratlon or Extension Per Panel
One Clrcul[ S 35.00
Each Addl tional -
-Circuit or vlth Service
Hiscellaneous (Servlce/feeder not included)The. installatloir ls belrig made on
property J ovn vhlch is not intended
for ia1e, 'Iease ot rent.
D
-Each lnstallation
Puinp or l rrigg t ion
Slsn/Out}lnb Lightlng
Liii ted Eneis-v/Res
-Limi ted Enerfr/Comm
-: ;.
00
00
00
$40
$40
$20
$36
€-5. SIIBTOTAL OP' ABOVE
5Z'state Surcharge
TOTAI,..'. .. ,,i
z ae
DATE:izo
RECEIVED +306 Admin E<47 VL
1.. I'CATTON OP INSTALI.ATION^l +6b*^"ui ryi?idi,a5v a-
.I^EGAL DESCRIPTION
qbt
cl tv ,?eo
I
Omers Slgnature:
ctT Y OF SPR'A'GFIELD', OREGOAT
SPFIXGFIELO
OFPICE:
INSPBCf,ION LINE;
726-3759
726-3769
BACKPLOII PREVE}{TION DBVICE PERT{IT APPLICATION
CITY OP SPRINGTIEIJ)
BUILDTNG SAFEf,Y DIVISION
225 FIPTH STREET
SPRINGFIELD OR 97477
JOB IOCATION:\ob uJ L L,
ASSESSORS HAP *:\1 Dts 34Ae,TAX LOT *:e
ADDRESS: P.o"Bot Eet PHONE }:7,{-o1 I U
CfTY: 7- e atu-q-STA?E: 6Ie-Ztp.. 1l t1159
EACKFLOII PER!{rr rs 515'00 + $.75 (srATE suRctlARGE) * $.45 (ADt{rN. FEE). $16.20
CONTRACTOR:u.
ADDRESS: P. o.Bo* \\ q ,5 PHONE t: GD B - toal
CTTY:STATE: 6\E-LL6 rl
CONSTRUCrION cONTRAcroRs REGISTRATIoN T: b1 o 5 EXPIRES I 2.a-2.19
BY SIGNING THIS PERI,IIT/APPLICATION, I AGREE TO CALL FOR AT{ INSPECTION ONCE TIIEBACKFL0I'I PREVEMT0N DEvrcE HAs BEEft rNaiAilnD-eiro rs vrSrBLE FoR rNspEcrroN(726-3769) ' r ALso srATE TBAT ALL rNPoRliAiion- oll rurs pERHrr/AppLrcArroN rsCORBECT.
I 0
POR OPFICE USE
DA?E OF APPLICATION:
RECEIPI S:
TOTAL AilOME COLLECTED:
JOB *:
BY
7
OUNER:
ZIPz 11
(__ c..---
SPrrINGFIELO
225 PTYIB, STREET
SPRINGPIELD' OREGO N 97477
DISPECf,ION REQI.IEST:726-376
OFETCE: 726-3759
1.INSTALLATIONIOCATION4oot lv1 gUDO N
PTIONa7 60(07
o il
ELECTI{ICAI PERHIT APPLICATION
Ci ty Job Nurnber qaoo\ng--lZ IL m
tol qq )
3.COHPLETE FEE SCffiDI.ILE BELOV
A. Nev Resldentlal-Sing1e or
Hultl-Fam11Y Per dvelling unit'
Service Included:Items CostI.^EGAL
JO DESCBJPTION
f\J €HOv €
Permits a
lf vork I
of lssuair'180 daYs.
re non-transferable and e e
s not started vlthln 180 s
ce or lf vork ls susPend ed for
2. CONTfu{CTOR INSTALI,ATION ONLY B
Electrical Contracto ,l-.4 ,lrlpee$ a^wf
Address
Ci ty I Phone ? *-oKl
Exp iration Date to- l-1K
C
Constr Contr . Number O r
Explratlon Date b -t - tr2"
Slgniture of Supervlslng ELectrlcian
0rrners Na,me
Address 2cs ax 6(> )
C1 o one 1-'
OIINER ALI."A,TION
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvel}ing
Service or Feeder
200 amps or less
201 amps to 400 amPs
401 amps to 600 amPs
---601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect 0nIY
I g Bs.oo
Z g 1s.oo
g6 6
-t!7o
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
s 50.00
s 60.00
$100.00
$ i30.00
$300.00
$ 40.00
TemporarY Services or'Feeders
Insiallaiion, Alteration or Relocation
see rtBn aSove
$ 40.00
$ s5.oo
$ 80.00
.--..:-
D
200 amps or less
iOi "*b" to 400 amPs
-Over 401 to 600 amPs .
Over 600 amps or f0OO-voTls
Branch Circuits
Nev, Alteratlon or Extension Per Panel
One Circui I
Each Additional: circuit or vlth Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
00
00
00
00
SUBTOTAL OP ABOVE
5Z'state Surcharge
TOTAL
(tt|'L
5 15
S
(/
The installatloh is belrig made on
;;;p;;it-i orn rrhlch ls not intended
for ia1e, 'Ieaie ot rent'
-Each lnstallation
Puino or i rrica t ion
s i gnlou t1 1nb- Li gh t i ng--_-l
Llmited EneigY/Res
Llmi ted En -ergYlConrm
-:-]-
s 40.
$ 40.
$ 20.
$ 36.Osners Slgnature:
DATE:+5
RECEIVED
5
+306 Adcnin Fe-<4 ?
?rD
' Supervisor Llcen-se Number AAA6->
$ 3s.00
$WillamalaneFaifa-necreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
RKSHEET
NAME:PHONE:
ADDRESS:STATE:P
q
LOCATION OF PROPOSED BUILDING SITE:
Street Add
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home Manufactured ho
NO. OF UNITS X $1,000 per unit
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (if applicabte) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
//t
Date
t
\Ut\090
City of Springfie
Department
:<s %